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DERMATOLOGY GROUP PA
NPI 1356300081
Specialist in Mount Dora, FL

Active since March 21, 2006CLIA Certified · 2 labs
2850 MORNINGSIDE DR, MOUNT DORA, FL 32757(352) 383-0733(352) 383-7112 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2023, Aug 19, 2022 (2 updates tracked since 2022).

About Dermatology Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY GROUP PA (NPI 1356300081) is a healthcare organization registered as a specialist in Mount Dora, Florida and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Erin Howard, Administrator, as its authorized official.

NPPES Registry Identity

NPI1356300081
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY GROUP PA
Location Address2850 MORNINGSIDE DRMount Dora, FL 32757-6610
Mailing Address515 W Sr 434 Ste 210Longwood, FL 32750-5162 · (407) 332-8080 · Fax (352) 383-7112
Phone(352) 383-0733
Fax(352) 383-7112
Organization SubpartNo
Authorized OfficialErin HowardAdministrator · (407) 332-8080
Enumeration DateMarch 21, 2006
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1356300081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2850 MORNINGSIDE DR, Mount Dora, FL 32757
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Secondary Practice Locations 3

Location 12304 Aloma Ave Ste 200Winter Park, FL 32792-3330 · Phone (407) 332-8080
Location 2300 E Hazel StOrlando, FL 32804-4023 · Phone (407) 898-3033
Location 3201 N Lakemont Ave Ste 800Winter Park, FL 32792-3200 · Phone (407) 645-2737

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D0273818

Dermatology Group Pa,the · Mount Dora, FL
Active · expires May 19, 2028
CLIA Number10D0273818
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorKemka S. Ogburia
Laboratory Phone(352) 383-0733
Laboratory LocationDermatology Group Pa,the2850 Morningside Dr, Mount Dora, FL 32757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D0989872

Dermatology Group Pa,the · Longwood, FL
Active · expires Nov 6, 2026
CLIA Number10D0989872
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorDr. Michael S. Henner
Laboratory Phone(407) 332-8080
Laboratory LocationDermatology Group Pa,the515 West State Road 434 Suite 210, Longwood, FL 32750
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANA NASIM AHMED MD
Dermatology (Dermatopathology)
2850 MORNINGSIDE DR
MOUNT DORA, FL 32757
Orange County (407) 332-8080
ROBERT W DEMETRIUS MD
Dermatology (Procedural Dermatology)
2850 MORNINGSIDE DR
MOUNT DORA, FL 32757
Orange County (352) 383-0733
DR. MICHAEL S. HENNER M.D.
Dermatology (Dermatopathology)
2850 MORNINGSIDE DR
MOUNT DORA, FL 32757
Orange County (352) 383-0733
DR. JEFFREY S. GREENWALD M.D.
Dermatology
2850 MORNINGSIDE DR
MOUNT DORA, FL 32757
Orange County (352) 383-0733
DINAH MCCARLEY WARNER M.D.
Dermatology
2850 MORNINGSIDE DR
MOUNT DORA, FL 32757
Orange County (352) 383-0733
THERESA HELSEL PA-C
Physician Assistant
2850 MORNINGSIDE DR
MOUNT DORA, FL 32757
Orange County (352) 383-0733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Group PA's NPI number?

The NPI number for Dermatology Group PA is 1356300081. It was assigned to this organization in the NPPES registry on March 21, 2006.

Where is Dermatology Group PA located?

Dermatology Group PA is located at 2850 Morningside Dr, Mount Dora, FL 32757. The listed phone number is (352) 383-0733.

What is Dermatology Group PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dermatology Group PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dermatology Group PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dermatology Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Group PA was last updated on July 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.